| Doctor Name: | GREGORY N NELSON |
| NPI Number: | 1114174265 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 49237 |
| Business Practice Address: | 18444 N 25th Ave Ste 310 Phoenix, AZ - 850231266 |
| Business Phone Number: | 6235375600 |
| Business Fax Number: | 8669392673 |
| Mailing Address: | 925 Chestnut St, 5th Floor PHILADELPHIA |
| State: | PA |
| Postal Code: | 191074216 |
| Phone Number: | 2673393500 |
| Fax Number: | 2155030580 |
| NPI Enumeration Date: | 08/20/2008 |
| NPI Last Update Date: | 06/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 49237 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |